Skeletal Manifestations of Polymyalgia Rheumatica

Miller, Lester D.

doi:10.1001/jama.1978.03290010031017

Cited by 24 publications

(2 citation statements)

References 10 publications

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“…Synovitis has been detected by arthoscopy of four knee joints in PMR patients (18). Sternoclavicular and acromioclavicular arthropathy has been noted respectively in 15 percent and 10 percent of a recent series of patients with PMR (19). Joint scintigrams (technetium) were abnormal in 24 of 25 PMR patients studied by O'Duffy et al (20).…”

Section: Discussionmentioning

confidence: 99%

Rheumatoid Arthritis in the Elderly, Presenting as Polymyalgia Rheumatica

Dimant

1979

J American Geriatrics Society

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Two elderly patients presented with generalized aches and pains (particularly in the shoulders and the pelvic girdle), stiffness, fatigue, anemia, and an elevated erythrocyte sedimentation rate, but there were no signs or symptoms directly referable to the joints. Two and five months later respectively, pain, swelling, and signs of synovitis appeared in several joints in a symmetrical pattern, and a diagnosis of rheumatoid arthritis was made. Rheumatoid arthritis in the elderly may resemble polymyalgia rheumatica. On the other hand, synovitis in many patients with polymyalgia rheumatica may resemble rheumatoid arthritis. In the elderly, the differentiation of these two entities may be difficult. Moreover, patients initially presenting with the signs and symptoms of polymyalgia may eventually manifest typical rheumatoid arthritis.

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Section: Discussionmentioning

confidence: 99%

Rheumatoid Arthritis in the Elderly, Presenting as Polymyalgia Rheumatica

Dimant

1979

J American Geriatrics Society

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“…It is characterized by severe pain and stiffness in the proximal muscles of the shoulders and hips and is accompanied by a rapid erythrocyte sedimentation rate. Inflammation is not a typical finding, although O'Duffy et al 15 and Miller and Stevens 16 have reported some scintigraphic evidence that the joints may be slightly inflamed. To accept synovitis as part of polymyalgia rheumatica is to obscure the distinction between polymyalgia rheumatica and rheumatoid arthritis of late onset; in some cases, a syndrome identical to polymyalgia rheumatica initiates rheumatoid arthritis of old‐age onset 17 , 18…”

Section: Rheumatic Diseasesmentioning

confidence: 99%

Diagnosis and Management of Rheumatic Diseases in Older Patients

Ehrlich¹

1982

J American Geriatrics Society

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The young and the old move differently, yet there are standards of normality for each. Chronic diseases of the joints, with their concomitant stiffness and pain, cause more fear of an impending crippling disability and loss of life space and content than actual pain and stiffness. Thus, a prime goal of physicians who treat patients who have chronic musculoskeletal diseases is to allay this fear by correcting misconceptions about arthritic diseases. Drug therapy can relieve the pain and stiffness and control the inflammation that causes these symptoms. Important aspects of rheumatoid arthritis, osteoarthritis, and polymyalgia rheumatica, a closely related disorder, are emphasized to point out the difficulty of the differential diagnosis of these diseases in older patients and the need for realistic therapeutic goals. A combination‐drug regimen, with a nonsteroidal anti‐inflammatory drug for alleviation of pain and control of inflammation and an analgesic drug for relief of residual pain, is the drug therapy of choice within the context of a total management program. By addressing both the physiologic and the psychologic aspects of musculoskeletal disease, physicians can help patients lead more active and useful lives.

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Polymyalgia Rheumatica Begins at 40

Dailey¹,

McCarty²

1979

Arch Intern Med

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Skeletal Manifestations of Polymyalgia Rheumatica

Cited by 24 publications

References 10 publications

Rheumatoid Arthritis in the Elderly, Presenting as Polymyalgia Rheumatica

Rheumatoid Arthritis in the Elderly, Presenting as Polymyalgia Rheumatica

Diagnosis and Management of Rheumatic Diseases in Older Patients

Polymyalgia Rheumatica Begins at 40

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